NPI 1003986845

Eric Maitland Dvorak, MD

Practitioner Physical Medicine & Rehabilitation Physician Green Bay, WI

Practice location

Address: 744 S Webster Ave, Green Bay, WI 54305-2487
Phone: (920) 445-7210
Fax: (920) 445-7229
Mailing address: PO Box 23400, Green Bay, WI 54305-2340

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 49884-20 (WI)

Other Physical Medicine & Rehabilitation providers in Wisconsin →

Registry record

NPI: 1003986845
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Nov 2006
Record last updated: 6 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.